Repair iris & ciliary body at martin north hospital
200 SE Hospital Avenue, Stuart, FL · Cleveland Clinic · · NPI 1194790055
$2,272.40
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
?
What you pay up front if you don't use insurance.
$3,496.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
?
The hospital's undiscounted list price — almost no one pays this.
$499.05 with Blue Cross vs $8,814.00 with AVMED — same scan, same building. Share
Negotiated rates by payer
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Blue Cross | Health Options | $499.05 | ↓ -78% |
| Blue Cross | BlueSelect | $499.05 | ↓ -78% |
| Freedom Health | Managed Medicaid | $502.73 | ↓ -78% |
| AmeriHealth | Managed Medicaid | $517.81 | ↓ -77% |
| Molina | Florida Kidcare | $527.87 | ↓ -77% |
| Sunshine Health | Managed Medicaid | $527.87 | ↓ -77% |
| Miami Childrens Health Plan | Managed Medicaid | $527.87 | ↓ -77% |
| Molina | Managed Medicaid | $527.87 | ↓ -77% |
| Blue Cross | Medicare Advantage PPO | $590.87 | ↓ -74% |
| United | Medicare Advantage | $590.87 | ↓ -74% |
| Blue Cross | Medicare Advantage HMO | $590.87 | ↓ -74% |
| Miami Childrens Health Plan | Medicare Advantage | $590.87 | ↓ -74% |
| Avmed | Medicare Advantage | $590.87 | ↓ -74% |
| Blue Cross | Network Blue | $601.80 | ↓ -74% |
| Independent Living Systems | Managed Medicaid | $603.28 | ↓ -73% |
| Careplus | Medicare Advantage | $620.41 | ↓ -73% |
| Freedom Health | Medicare Advantage | $620.41 | ↓ -73% |
| Blue Cross | Traditional (PPS) | $621.37 | ↓ -73% |
| Blue Cross | Perferred Patient Care | $621.37 | ↓ -73% |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $630.99 | ↓ -72% |
| SUNSHINE HEALTH | Managed Medicaid | $630.99 | ↓ -72% |
| Simply | Managed Medicaid | $630.99 | ↓ -72% |
| Clear Spring Health | All Products | $638.14 | ↓ -72% |
| AMERIHEALTH | Managed Medicaid | $649.92 | ↓ -71% |
| MOLINA | Managed Medicaid | $662.54 | ↓ -71% |
| MOLINA | Florida KidCare | $662.54 | ↓ -71% |
| Independent Living Systems | Medicare Advantage | $685.58 | ↓ -70% |
| Aetna | Medicare Advantage PCP | $732.68 | ↓ -68% |
| Aetna | Medicare Advantage Specialist | $744.50 | ↓ -67% |
| AETNA | Managed Medicaid/CHIP | $757.19 | ↓ -67% |
| Multiplan | All Products | $886.31 | ↓ -61% |
| Avmed | Exchange | $936.98 | ↓ -59% |
| Avmed | Select | $973.01 | ↓ -57% |
| Avmed | Broad | $1,045.09 | ↓ -54% |
| United | All Products | $1,363.73 | ↓ -40% |
| The Legacy Companies | All Products | $2,272.40 | ↑ +0% |
| Clarity Health | All Products | $2,272.40 | ↑ +0% |
| UNITED | MEDICARE ADVANTAGE | $2,289.35 | ↑ +1% |
| Miami Childrens Health Plan | MEDICARE ADVANTAGE | $2,289.35 | ↑ +1% |
| BLUE CROSS | Medicare Advantage PPO | $2,289.35 | ↑ +1% |
| HUMANA | Medicare Advantage HMO | $2,289.35 | ↑ +1% |
| BLUE CROSS | Medicare Advantage HMO | $2,289.35 | ↑ +1% |
| AVMED | MEDICARE ADVANTAGE | $2,380.93 | ↑ +5% |
| Careplus | MEDICARE ADVANTAGE | $2,403.82 | ↑ +6% |
| Freedom Health | MEDICARE ADVANTAGE | $2,403.82 | ↑ +6% |
| AETNA | MEDICARE ADVANTAGE | $2,410.01 | ↑ +6% |
| Wellcare | MEDICARE ADVANTAGE | $2,410.01 | ↑ +6% |
| Consociate Health | ALL PRODUCTS | $2,622.00 | ↑ +15% |
| DEVOTED HEALTH | Medicare Advantage HMO | $2,651.01 | ↑ +17% |
| Aetna | All Products First Health | $3,146.40 | ↑ +38% |
| Cigna | Individual Family Plan Physician | $3,496.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $3,496.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $3,496.00 | ↑ +54% |
| Cigna | All Products Physician | $3,496.00 | ↑ +54% |
| Cigna | Surefit Physician | $3,496.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $3,496.00 | ↑ +54% |
| AVMED | EXCHANGE | $4,006.36 | ↑ +76% |
| AVMED | Select | $6,753.59 | ↑ +197% |
| AVMED | BROAD | $8,814.00 | ↑ +288% |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
Visitor-reported prices
Comments
Repair iris & ciliary body at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | not published | $4,203.87 – $4,292.38 |
| cleveland clinic florida weston hospital | Weston | $2,272.40 | $350.00 – $3,496.00 |
| Adventhealth Lake Wales | Lake Wales | not published | $2,410.01 – $5,350.23 |
| Adventhealth Tampa | Tampa | not published | $537.00 – $5,350.23 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $2,289.51 – $5,264.67 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $4,034.61 – $4,119.55 |
| indian river hospital | Vero Beach | not published | $599.44 – $2,651.01 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $4,095.69 – $4,181.91 |